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General NPI Number Information
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NPI Number | 1144394842
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC & WELLNESS CENTER
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 25 SHERIDAN AVE
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City | HO HO KUS
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State | NJ
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Zip | 07423-1538
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Country | US
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Telephone | 201-444-4408
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Fax | 201-444-4497
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Provider Business Mailing Address
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Address Line | 25 SHERIDAN AVE
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City | HO HO KUS
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State | NJ
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Zip | 07423-1538
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Country | US
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Telephone | 201-444-4408
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Fax | 201-444-4497
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NOEL F PLASKER
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Credential | D.C.
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Telephone | 201-444-4408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00502000
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License Number State | NJ
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